Organization
HEALTH WISE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE CHAPPUS RN (ADMINISTRATOR)
(248) 569-9473
Entity
Organization
Contact information
Practice address
17401 WEST 12 MILE RD, STE A, LATHRUP VILLAGE, MI 48076-2135
(248) 569-9473
(248) 569-9577
Mailing address
17401 WEST 12MILE RD, STE A, LATHRUP VILLAGE, MI 48075-2135
(248) 569-9473
(248) 569-9577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-4567408
—
MI
01
—
OE961
BCBS
—
Enumeration date
07/11/2006
Last updated
12/12/2011
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